Date Published
November 18, 2025
Updated For
ALS PCS Version ALS PCS Version 5.2
Question:
How long after someone took an oral steroid (example prednisone) would be contraindicated for giving dexamethasone within the Bronchoconstriction Medical Directive? The Croup Medical Directive is clear that steroids must not have been taken within the past 48 hours. But, the Bronchoconstriction Medical Directive only says, “Currently on PO or parenteral steroids”. What is considered Currently on – taken within the last 24 hours?
Answer:
It would be reasonable to consider someone being “Currently on PO or parenteral steroids” if they last took a corticosteroid (example prednisone) within 24 hours, as most oral corticosteroids are dosed once daily.
Categories
Keywords
Bronchoconstriction, Contraindication, Corticosteroids, Croup, Dexamethasone, Dosing, Steroids
Additional Resources
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